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This reduction, surprisingly, triggers a series of events that can lead to significant metabolic changes

However, as the DSRIP program went forward, PPS needed to change their networks and add providers as they expanded services or needed a specific type of provider to meet their objectives

Disclaimer: These statements have not been evaluated by the FDA

It has not been validated as well as the 24-hour pH test

Storage and handling Before reconstitution (powder) Storage : Refrigerate at 2-8C (36-46F) Shelf life : 2-3 years when properly stored Stability : Very stable as lyophilized powder Travel : Can survive room temperature for short periods (days) After reconstitution (liquid) Storage : Refrigerate immediately at 2-8C Shelf life : 28 days with bacteriostatic water Stability : Degrades over time, use within 28 days Travel : Keep cold (use cooler with ice packs) Light : Protect from direct light (store in box) Handling tips Always use clean technique Don't contaminate vial top Use new needle each time Don't freeze Don't shake vigorously Mark reconstitution date on vial Common mistakes with 5mg vials Using wrong water Mistake : Using sterile water instead of bacteriostatic water

doi: 10.1016/j.ccr.2005.08.002 75 VenneriMADe PalmaMPonzoniMPucciFScielzoCZonariEet al